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Think like a doctor #not lupus

Patient is a 25 y/o male that presents to PCP for redness and pervasive acne. Upon investigation the redness has been happening for 7 years and the acne 4 years. Gets 2 Dx's and a dermatologist referral. What are the Dx's?

2
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Fungal colony?

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Side issue not brought up. Think more treatable disease but not where his is located.

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